小结
定义
病史和体格检查
关键诊断因素
- 创伤史或骨质疏松病史
- 手腕疼痛
- 桡骨远端压痛
- 肿胀
其他诊断因素
- 畸形
- 鼻烟窝压痛
- 手指麻木
- 感觉减退
- 开放性伤口
- 脉搏缺失
危险因素
- 外伤
- 骨质疏松症
诊断性检查
首要检查
- 手腕 X 光平片
需考虑的检查
- 腕部 CT
- 腕部 MRI（平扫）
- 双能 X 线骨密度测量仪 (DXA) 测定
治疗流程
闭合性骨折
开放性骨折
单纯桡骨远端骨折
孤立性舟状骨骨折
合并桡骨远端和舟状骨骨折
确诊腕部骨折
撰稿人
作者
Niels W.L. Schep, MD
Trauma, Hand and Wrist Surgeon
Department of Trauma and Hand Surgery
Maasstad Hospital
Rotterdam
Netherlands
利益声明
NWLS is an author of several references cited in this topic. He is a consultant for Synthes, Medartis, and Arthrex, and has received honoraria from The AO Foundation for teaching courses.
鸣谢
Dr Niels W.L. Schep would like to gratefully acknowledge Dr Jeffrey N. Lawton, Dr John R. Lien, Dr Gregory D. Byrda, Dr Tamara D. Rozental, and Dr Chaitanya S. Mudgal, previous contributors to this topic.
利益声明
JNL is a consultant for Innomed Inc, has received honoraria from The AO Foundation for teaching courses, and has been sponsored for research by DePuy Synthes. JRL and GDB declare that they have no competing interests. TDR is an author of several references cited in this topic. CSM has been reimbursed by AO North America and Asia Pacific for being a faculty member during educational conferences.
同行评议者
Asif Ilyas, MD
Program Director of Hand and Upper Extremity Surgery
Rothman Institute
Associate Professor of Orthopaedic Surgery
Thomas Jefferson University
Philadelphia
PA
利益声明
AI declares that he has no competing interests.
Isam Atroshi, MD, PhD
Associate Professor of Orthopaedics
Lund University
Chief
Hand Surgery Section
Department of Orthopaedics
Hässleholm and Kristianstad Hospitals
Sweden
利益声明
Not disclosed.
鉴别诊断
- 手腕拉伤
- 腕骨韧带损伤
- 三角纤维软骨复合体 (TFCC) 撕裂
更多 鉴别诊断指南
- 严重肢体创伤后的手术部位感染预防：适当使用标准
- 严重肢体创伤后手术部位感染预防
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